ACTIVE MEDICAL LLC (NPI# 1487206215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487206215 |
| Entity Type | Organization |
| Organization Name | ACTIVE MEDICAL LLC |
| Practice Address |
1107 Main St Milton WV 25541-1271 |
| Practice Telephone | 3043976599 |
| Practice Fax Number | 3043976566 |
| Mailing Telephone | 3043976599 |
| Mailing Fax Number | 3043976566 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | ROBERT JOSEPH TANT (MEMBER/MANAGER) |
| Authorized Official Telephone | 3043976599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3910005780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1821418187 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3890 Teays Valley Rd, Hurricane, WV 25526-9720 | 2014-04-24 |
| Street Address |
1107 MAIN ST |
| City | MILTON |
| State | WV |
| Zip Code | 25541-1271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| 1285285528 | Amy Conrad | Technician | 1233 Glenwood St, Milton, WV 25541 | 2019-09-27 |
| 1841849981 | Penny Blake | Technician | 248 Woodmire Drive, Milton, WV 25541 | 2019-09-11 |
| 1013407691 | Brandi Raelynn Krismer | Massage Therapist | Suite 5 Perry Morris Square, Milton, WV 25541 | 2018-05-18 |
| 1548457922 | Bogren Chiropractic Health Center | Chiropractor | 332 East Main Street, Milton, WV 25541 | 2007-09-28 |
| 1255424248 | Donald G Klinestiver | Family Medicine | 1028 Mason St, Milton, WV 25541 | 2006-10-02 |
| 1093730624 | Linda Ann Eakle | Family Medicine | 1509 W Main Street, Milton, WV 25541 | 2006-07-13 |
| 1841288438 | Connie Sue Boggess | Occupational Therapist | 2216 Newmans Branch Road, Rural Route 3 Box 397, Milton, WV 25541 | 2005-10-09 |
| 1659721496 | Jessica D. Lewis | Nurse Practitioner | 1 Harbour Way, Milton, WV 25541 | 2016-06-13 |
| 1770999120 | Kristy M Ferguson | Specialist | 1109 Main St, Milton, WV 25541 | 2014-07-07 |
| Find all providers in zip 25541 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730603374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 Us Rte 7 S, Milton, VT 05468 | 2017-07-26 |
| 1083046221 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 259 Route 7 S, Milton, VT 05468-3868 | 2013-07-30 |
| 1336371087 | Dura-med Southeast, Inc. | Durable Medical Equipment & Medical Supplies | 5941 Berryhill Rd, Milton, FL 32570-4043 | 2009-08-13 |
| 1245488386 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 13933 Alpharetta Hwy, Milton, GA 30004 | 2008-09-03 |
| 1083875173 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13055 Highway 9 N, Milton, GA 30004-5137 | 2008-06-20 |
| 1023209293 | Aabon Home Health Care Supply, Inc. | Durable Medical Equipment & Medical Supplies | 5201 Dogwood Dr, Milton, FL 32570-5702 | 2007-08-05 |
| 1740374206 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 10235 Hwy 421 N, Milton, KY 40045 | 2006-10-02 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1598874810 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 900 Meridian East, Ste 23, Milton, WA 98354-7001 | 2006-08-30 |
| 1790796605 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 710 S Janesville St, Milton, WI 53563-1748 | 2006-08-10 |
| Find all providers in MILTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.